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Title Page
Document No.
Site
Conducted on
Company
name
The use of alcohol or drugs at A Dart & Co
. Mandatory Personal protective equipment on site is
Who has responsibility for reporting hazards
. If using a Hazardous chemical
To operate plant or equipment on site you must
When climbing onto plant or up ladders you must maintain contact with at least
Seat belts are to be worn
Accidents/Near Misses should be reported when
. Before being brought on site, all electrical equipment must
Before commencing any High Risk construction activity, a Work Method Statement/Risk Assessment must be completed, communicated to the workforce and signed off as being understood by all task participants
If you find a needle or “sharp
Whenever lifting, pushing, pulling or otherwise moving a load, you should always
When working on plant or equipment at a height of 2.0 metres or above you must ensure
. When required to wear a safety harness on site, proof of training is required BEFORE commencing the task:
Piggy back leads or double adapters are not to be used.
When is dust an issue
Waste is managed by
Noise is managed by
The correct response to an enquiry from a member of the public or media is to:
Who is responsible for Health, Safety and Environment?
take photo of Blue/White ticket ect
I acknowledge that I have personally answered the questionnaire and agree to abide by all the requirements outlined in the induction
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You should independently determine whether the template is suitable for your circumstances.